Titanium Intramedullary Hip Screws Popularity in the US due to High Biocompatibility

Intramedullary (IM) hip screws are hybrid devices, incorporating aspects of intramedullary nails and conventional hip screw design. They are inserted into the femur at an angle similar to that of hip screws, but instead of being anchored by a plate external to the shaft of the bone, IM hip screws are anchored inside the medullary cavity. The screws are designed for intertrochanteric or subtrochanteric fractures of the hip. IM hip screws are also known as dynamic hip screws (DHS).

This market includes segments for two types of intramedullary hip screws: stainless steel hip screws and titanium hip screws. The majority of the market is comprised of titanium hip screws due to the much higher unit sales seen in this market. The US market for intramedullary hip screws will be strongly influenced by increasing unit sales in the titanium hip screw market. Despite a strong decline in unit sales for the stainless steel intramedullary hip screw market, this segment is so small that the strong growth of the titanium market will be enough to drive the market.
Strong growth is expected to continue for the IM screw market as the obese and diabetic patient population expands dramatically in the US. It has been well documented that high-energy traumatic injuries in obese patients often include orthopedic injuries to the pelvis or lower extremities, which often require devices such as intramedullary hip screws.

The majority of intramedullary hip screws sold in the US are made with titanium over stainless steel due to gaining great acceptance in the surgical community as a popular option. The increased costs associated with using titanium products will be a strong factor in the size of the market and its growth. Titanium intramedullary hip screws will continue to be popular among surgeons over the foreseeable future; as such, the titanium market will continue to cannibalize the stainless steel market.

In 2014, Stryker held the leading position in the U.S. intramedullary hip screw market, with nearly 40% market share. Their Gamma® nail was crucial for leading the market away from conventional hip screws. Stryker is selling its third iteration of the Gamma® line, the Gamma 3®, which is designed to facilitate minimally invasive surgeries through the latest instrumentation and optimized surgical techniques. DePuy Synthes held the second leading position in the U.S. intramedullary hip screw market. They offer the Titanium Trochanteric Fixation Nail System (TFN) for treatment of proximal femur fractures. Compared with single lag screw fixation, the TFN with helical blade exhibits improved resistance to varus collapse and rotational control of the medial fracture segment.

A decade ago, essentially all intramedullary hip screws were made of stainless steel. The main reason for titanium’s emergence in the trauma market is the growing acceptance of the higher associated biocompatibility and lower weight of titanium in comparison with stainless steel or cobalt/chrome alloys. The ASP of a stainless steel intramedullary hip screw will continue to increase slightly to match inflation and as some companies discontinue production, allowing some companies to be able to command higher prices.

For Further Information
More on the intramedullary hip screw market in the U.S. can be found in the report series published by iData entitled U.S. Market for Orthopedic Trauma Devices. This report covers the U.S. markets for plate and screws, bioassorbable fixations, intramedullary nails, cannulated screws, intramedullary screws, conventional hip screws, staple fixations, bone pins, external fixations, and bone growth stimulators.

About Procedure Tracker
Procedure number data is available from iData’s Procedure Tracker service, which allows subscribers to define and analyze procedure data segmented by country, region, hospital, surgery centre, and physician. A customizable dashboard sorts procedure data for further analysis and research.

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